Which of the following should the nurse consider first when assessing the cognitive ability of an older adult?
1. A life-long bachelor
2. Orphaned at age 12
3. History of a chronic disease process
4. Recent immigration to the United States
ANS: 4
Cognitive processes comprise changes in intelligence, ability to understand and use language, and the development of thinking that shapes an individual's attitudes, beliefs, and behaviors. Recent immigration to the United States would present language and life experiences that should be considered by the nurse. Socioemotional processes consist of the variations that occur in an indi-vidual's personality, emotions, and relationships with others during their lifetime. Being a bache-lor and not having experienced a marital relationship should be considered by the nurse. Socio-emotional processes consist of the variations that occur in an individual's personality, emotions, and relationships with others during their lifetime. Being orphaned at a young age should be con-sidered by the nurse. Biological processes produce changes in an individual's physical growth and development. A chronic disease process should be considered by the nurse.
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